NCCI edits for CPT 99494
CMS lists 75 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 100 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
Not separately payable together Copy link
Modifier indicator 0: the edit cannot be bypassed with an NCCI-associated modifier. Each row names the code that denies—CMS writes every edit as an ordered pair, and it is the Column Two code that is denied while Column One is paid.
- 0395T 99494 denies
- 0469T 0469T denies
- 0733T 99494 denies
- 0734T 99494 denies
- 36591 36591 denies
- 36592 36592 denies
- 80503 99494 denies
- 80504 99494 denies
- 80505 99494 denies
- 80506 99494 denies
- 90951 99494 denies
- 90952 99494 denies
- 90953 99494 denies
- 90954 99494 denies
- 90955 99494 denies
- 90956 99494 denies
- 90957 99494 denies
- 90958 99494 denies
- 90959 99494 denies
- 90960 99494 denies
- 90961 99494 denies
- 90962 99494 denies
- 90963 99494 denies
- 90964 99494 denies
- 90965 99494 denies
- 90966 99494 denies
- 90967 99494 denies
- 90968 99494 denies
- 90969 99494 denies
- 90970 99494 denies
- 94002 94002 denies
- 94003 94003 denies
- 94004 94004 denies
- 94660 94660 denies
- 96127 96127 denies
- 96523 96523 denies
- 98960 98960 denies
- 98961 98961 denies
- 98962 98962 denies
- 98966 98966 denies
- 98967 98967 denies
- 98968 98968 denies
- 98970 98970 denies
- 98971 98971 denies
- 98972 98972 denies
- 98978 99494 denies
- 99071 99071 denies
- 99078 99078 denies
- 99080 99080 denies
- 99091 99091 denies
Showing 50 of 75. The plain-text version contains every pair.
Modifier may be allowed Copy link
Modifier indicator 1: an NCCI-associated modifier may be used when the circumstances and documentation support it. Each row names the Column Two code, which is the one denied absent an allowed modifier.
- 0362T 0362T denies
- 0373T 0373T denies
- 77261 99494 denies
- 77262 99494 denies
- 77263 99494 denies
- 77280 99494 denies
- 77285 99494 denies
- 77290 99494 denies
- 77293 99494 denies
- 77295 99494 denies
- 77300 99494 denies
- 77301 99494 denies
- 77306 99494 denies
- 77307 99494 denies
- 77316 99494 denies
- 77317 99494 denies
- 77318 99494 denies
- 77321 99494 denies
- 77331 99494 denies
- 77332 99494 denies
- 77333 99494 denies
- 77334 99494 denies
- 77336 99494 denies
- 77338 99494 denies
- 77370 99494 denies
- 77371 99494 denies
- 77372 99494 denies
- 77373 99494 denies
- 77417 99494 denies
- 77423 99494 denies
- 77424 99494 denies
- 77425 99494 denies
- 77427 99494 denies
- 77431 99494 denies
- 77432 99494 denies
- 77435 99494 denies
- 77469 99494 denies
- 77470 99494 denies
- 77520 99494 denies
- 77522 99494 denies
- 77523 99494 denies
- 77525 99494 denies
- 77600 99494 denies
- 77605 99494 denies
- 77610 99494 denies
- 77615 99494 denies
- 77620 99494 denies
- 77750 99494 denies
- 77761 99494 denies
- 77762 99494 denies
Showing 50 of 100. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.